| Elizabeth Dorantes De Inzunza, LCSW, CADC | |
|
131 E Melody Ln, Woodstock, IL 60098-2568 | |
| (815) 393-1766 | |
| (815) 205-4468 |
| Full Name | Elizabeth Dorantes De Inzunza |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 131 E Melody Ln, Woodstock, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134863806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149.027019 (Illinois) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 36569 (Illinois) | Secondary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Dorantes De Inzunza, LCSW, CADC 131 E Melody Ln, Woodstock, IL 60098-2568 Ph: (815) 393-1766 | Elizabeth Dorantes De Inzunza, LCSW, CADC 131 E Melody Ln, Woodstock, IL 60098-2568 Ph: (815) 393-1766 |
Ms. Hilary Pirro, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3701 Doty Rd, Woodstock, IL 60098 Phone: 815-338-6600 Fax: 815-206-5376 | |
Ann Kearns, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 800 E South St, Woodstock, IL 60098 Phone: 815-337-7109 | |
Mrs. Luserito Renteria, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1090 Mcconnell Rd, Woodstock, IL 60098 Phone: 815-245-6669 | |
Marianne Winifred Hutchison, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2030 N Seminary Ave, Woodstock, IL 60098 Phone: 815-679-4649 | |
Donna Fischer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Savanna Ln, Woodstock, IL 60098 Phone: 815-382-4767 | |
Jackie Tapia, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 277 E Kimball Ave, Woodstock, IL 60098 Phone: 224-323-3248 |